vampiregirl BSN, RN

Hospice

CHPN, WCC

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All Content by vampiregirl

  1. vampiregirl

    GIP Computer Charting

    vampiregirl replied to gobux90's topic in Hospice, Palliative

    Is the GIP charting in reference to a hospital computer charting or your hospice charting program? Our in and out times are captured in our hospice charting program. We also document a concise note in...
  2. vampiregirl

    Haldol IV?

    vampiregirl replied to RelleyRN's topic in Patient Medications

    In hospice, we use haldol IV on inpatients for symptom management. It works very well on some patients for bothersome hallucinations, agitation and helps to address
  3. vampiregirl

    Taking care of DNR patients. The point?

    vampiregirl replied to cholmes1223's topic in General Nursing

    The Hospice that I work for does not have a hospice house. If we have a patient that were are unable to manage symptoms in any other environment, then our hospice medical director can give an order...
  4. vampiregirl

    Tell me about the Liasons where you work.....

    vampiregirl replied to jschut's topic in Hospice, Palliative

    The "tricks" to get numbers up. When I worked LTC I ran into this a lot, inappropriate patients with whom the ones who "recommended" them to be admitted then never had to deal with them or their care....
  5. vampiregirl

    Tell me about the Liasons where you work.....

    vampiregirl replied to jschut's topic in Hospice, Palliative

    Yep, all our Liaisons do have an RN after their names:) As do our managers. It's a pretty well thought out
  6. vampiregirl

    Chamberlain Nursing School... Is it worth it?

    vampiregirl replied to MarquieshaH's topic in Chamberlain College

    There are still nursing homes that offer CNA classes at no cost, at least in the area which I live (northern Indiana). I know that for a fact because I was the program director of one until I accepted...
  7. vampiregirl

    glove allergy

    vampiregirl replied to sherone's topic in Nursing Student Assistance

    Just curious - here in the US a type 4 latex allergy is defined as a delayed hypersensitivity to latex. Does it mean the same thing in your
  8. vampiregirl

    Comfortable shoes?

    vampiregirl replied to Chickie77's topic in Scrubs, Uniforms, Gear

    I haven't tried Algeria, but I'm a huge fan of clearance and close out sales for any of the good quality
  9. vampiregirl

    Comfortable shoes?

    vampiregirl replied to Chickie77's topic in Scrubs, Uniforms, Gear

    Everyone feet are unique:) Hospice RN here - I am inside and outside. Currently I rotate between Dansko, Merrells and a pair of waterproof shoes from Lands End. All of which are in styles that make...
  10. vampiregirl

    Esme Needs Your Prayers

    vampiregirl replied to ixchel's topic in General Nursing

    Sending prayers and comforting
  11. vampiregirl

    How Much Does a Hospice Nurse Make?

    vampiregirl replied to EmilyLucille523's topic in Hospice, Palliative

    I work for a hospital based hospice. The pay scale is the same as what RNs who work in the hospital make. For me, it was a pay cut from a LTC manager position, but I love what I do now. The hospice I...
  12. vampiregirl

    Tell me about the Liasons where you work.....

    vampiregirl replied to jschut's topic in Hospice, Palliative

    "Liaison" must be one of those terms that means different things in different locations... Our Liaisons visit patients in the hospital who have either requested Hospice or Home Health or if a...
  13. vampiregirl

    On call?

    vampiregirl replied to lifelearningrn's topic in Hospice, Palliative

    Usually our census runs in the mid 50's, this can really vary. 9 nurses (only 1 FT, the remainder PT). 4 counties; probably 40 miles from the north tip to the south tip of our area, roughly the same...
  14. vampiregirl

    Would you have called out?

    vampiregirl replied to Angeljho's topic in General Nursing

    I agree with the previous posters - it's tough when you'd rather be somewhere else but then there's the responsibility of being an adult. Off the record - there are so days when if I had a choice I'd...
  15. vampiregirl

    I was reported for something I didnt actually do. Help.

    vampiregirl replied to LisaF0115's topic in HIPAA Challenges

    Ugh, it's no fun to have an instructor that you don't feel comfortable with. You mentioned that she was stated you are "unsafe". I know it wouldn't be easy, but have you asked her for specifics?...
  16. vampiregirl

    Confused about HH PRN offer

    vampiregirl replied to outside_child's topic in Home Health

    I do know of places that require PRN employees to have availability for weekend/ holiday shifts, that was because weekends/ holidays typically had the most openings. I will say it's a positive thing...
  17. vampiregirl

    Angels

    vampiregirl replied to nursecathi's topic in Hospice, Palliative

    In hospice, it's really the family/ caregivers who have the hardest role. Hospice staff are the support system. It is really a privilege to be involved in hospice case though, dying can be a very...
  18. vampiregirl

    Nurses forced to work as aides

    vampiregirl replied to NewYorkerGirl's topic in Nursing Professionalism

    I don't mind filling aide positions. When I worked LTC, it was actually fun (but really physically demanding work for the now out of shape RN). It was those shifts I knew I actually might get out on...
  19. vampiregirl

    On call?

    vampiregirl replied to lifelearningrn's topic in Hospice, Palliative

    Where I work, we don't have an on-call nurse. Our case managers rotate call, and we are aware of that upon hire. We also have a rotation for holidays. On weekends, we have a helpline nurse and a...
  20. vampiregirl

    Does Medic Experience Count?

    vampiregirl replied to reyndonn1054's topic in General Nursing

    I'm an RN with 18 years EMS experience (as an AEMT). There are very distinct differences between the 2 "worlds". There are some things from EMS which have definitely contributed to my success as an...
  21. vampiregirl

    Treat diabetes?

    vampiregirl replied to nursecathi's topic in Hospice, Palliative

    Just as you are transitioning your mindset from the "save them at all cost" to the "comfort care" perspective, the patient also has to make this transition:) Making a 180* change in thinking isn't...
  22. vampiregirl

    Another New Grad Nurse Dilemma: critical care nursing in IL.

    vampiregirl replied to nataliyaslmn's topic in Critical Care

    EMT skills can come in very handy in many areas of nursing. I would think this to be especially true in critical care. Granted, EMS uses different theory than nursing, but there is a time and place...
  23. vampiregirl

    RN - Crushing medications

    vampiregirl replied to DDdove's topic in Geriatric, LTC

    If your facility's policy is to crush separately (I have heard of this before), find out if you ask for an order to crush the meds together. Or, find out how to get your facility's policy updated -...
  24. vampiregirl

    Ideas for Teaching Topics

    vampiregirl replied to aconwaylpn's topic in Hospice, Palliative

    Advance directives might be an area to consider or non-pharmalogical interventions/ trouble shooting symptoms (restlessness is a good one). Or for a spin on nurses & their own grief - compassion...
  25. vampiregirl

    Would you quit over white uniforms?

    vampiregirl replied to TexMex22's topic in General Nursing

    Nope, whites wouldn't be a deal breaker for me. I worked for a LTC that required all licensed nurses to wear white scrub pants. Nope, not my favorite color and a little challenging to keep clean and...